Membership Registration Form
Name
*
First Name
Last Name
Email
*
example@example.com
Year graduated
*
Decade graduated
*
Please Select
197X
198X
199X
200X
201X
202X
Others
Linkedin URL
Business Name
If you have a business, we would love to support you.
Personal Data Protection Act
We require your consent in accordance with the Personal Data Protection Act to comply with the PDPA's obligations for processing your personal data.
Your consent
*
I consent for my personal data to collected and processed by the Association for communications, event updates and networking activities.
I wish to opt out and stay anonymous in the CCSSAA directory.
Submit
Should be Empty: